1977, 09-21 Permit App: M3408 ResidenceCounty of Spokane, . Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.I°
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County ng a an Zoning a ka C t Building Cod d Z Ordinance. Construction nstruction is subject to inspection
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. There the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
Performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OP BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS, Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
�%
APPLICANT FILL IN BELOW THIS7LINE
7720 ('/J p
Name of Owner/ Cie /�i .F rt/ C_ , Address !r // ! U �j �PtV t'Iew1C1ham �C'G1+Z( - / C1
Architect Address Phone
Engineer Address Phone - -
Contractor.Address
Phone -
Legal Description of Property (Give cOyo compdesqpiption from decgd, t receipt, etc.) P rcel NumbereA .��3S'/— / o
00/
7 a % - /lb Nr elG e/ t✓�_
DESCRIPTION OF WORK: New
e..-----
'
/ Addition1 Remodel Moving Bldg. Zone Fire Z e
Size of Lot % f X _SD Sewage System ‘,.19-4-
Bldg.
!�� Const. ^�"� -�
v `/ i / / a (Fr.. Co c., Br., etc.)0j_
Stories Dimensiorta �O X J�r 7'" 2 2 k '? 9 SO X �Z Total Sq Ft /6 �0y6) Valuation WOQO
Rooms '?Baths �Y° Basement /u/I, Foundation Const COp C PC .P/<i Chimnelr 5ai-A Fireplace
(Full, part, none) f / (Kind) (Number /
Heat. System/ _Typ of Roof' g CA Ail_ • Ext Finish / —(7' Int Wall Finish 'it/ W cl
/LQ LCC Gc = No of Units _Bedrooms
Use of Bldg. -et/7!'
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN ofr‘re-44/
property lines; (2), street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
r^fir ;d4/
SOUTH
I hereby certify information'submitted
as shows„
Owner or Agent
A�LA ND USE OR STRUCTURE
TRIS IS NOTA PERMIT.
01J
v n'•' bur street address will be`— ' fr/i JC�«
air Sewage Permit Number Issued Building Permit
k Remarks
State License No.
2Q3_0/_.25,0`(
Ind. Ins. Acct. No.
ESIDENTI
- COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
�- 2/-77
Date
PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
34d The zone is 52 Fr R '
Receipt 000 / Issued
Form 523 Bldg. Code
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